KATRINA JOHNSON PSYD
NPI 1578043493
Psychologist in Madison, WI

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment
2202 S PARK ST, MADISON, WI 53713(608) 443-5480 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2021, Aug 27, 2018, Aug 20, 2018 (3 updates tracked since 2018).

About Katrina Johnson Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA JOHNSON PSYD (NPI 1578043493) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (3586-57) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578043493
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATRINA JOHNSONCredential: PSYD
Location Address2202 S PARK STMadison, WI 53713
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 20, 2018
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1578043493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 3586-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 3586-57 (WI)
2202 S PARK ST, Madison, WI 53713

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katrina Johnson Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123367174
PECOS Enrollment IDI20190308001680
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Katrina Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2202 S PARK ST
Madison, WI 53713
  • Reassigned Medicare billing, Wisconsin enrollment
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2202 S PARK ST
MADISON, WI 53713
Nurse Practitioner
2202 S PARK ST, SUITE 400
MADISON, WI 53713
Advanced Practice Midwife
2202 S PARK ST
MADISON, WI 53713
Internal Medicine
2202 S PARK ST
MADISON, WI 53713
Social Worker
2202 S PARK ST
MADISON, WI 53713
Social Worker
2202 S PARK ST
MADISON, WI 53713
Dental Hygienist
2202 S PARK ST
MADISON, WI 53713
Dentist
2202 S PARK ST
MADISON, WI 53713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Johnson's NPI number?

The NPI number for Katrina Johnson is 1578043493. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Katrina Johnson located?

Katrina Johnson practices at 2202 S Park St, Madison, WI 53713. The listed phone number is (608) 443-5480.

What is Katrina Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katrina Johnson enrolled in Medicare?

Yes. Katrina Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katrina Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Johnson reassigns Medicare benefits to Access Community Health Centers, Inc. (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrina Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrina Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Katrina Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Johnson was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.